What 11 hospitals in Illinois charged and were paid for a Medicare hospital stay for hypertension with major complications (DRG 304), from 2024 Medicare claims.
Hospitals in Illinois billed an average of $53,328 for hypertension with major complications, about 4.3 times the average total payment of $12,346. That payment is 7% above the U.S. average of $11,589.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
About 23¢ was paid for every $1 hospitals in Illinois billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Illinois:
Every Illinois hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Northwestern Medicine McHenryMcHenry | 24 | $56,058 | $17,393 | $6,828 |
| Northwestern Memorial HospitalChicago | 23 | $56,607 | $12,884 | $10,212 |
| The University of Chicago Medical CenterChicago | 22 | $70,935 | $16,199 | $12,431 |
| Saint Francis Medical CenterPeoria | 21 | $73,716 | $14,894 | $8,321 |
| Memorial Medical CenterSpringfield | 19 | $37,431 | $9,789 | $8,226 |
| Evanston HospitalEvanston | 18 | $38,645 | $10,534 | $8,665 |
| Memorial HospitalBelleville | 14 | $42,306 | $8,595 | $7,315 |
| Advocate Trinity HospitalChicago | 12 | $42,578 | $9,362 | $8,002 |
| Decatur Memorial HospitalDecatur | 11 | $30,339 | $8,903 | $7,683 |
| Provena Mercy Medical CenterAurora | 11 | $61,832 | $9,964 | $9,371 |
| Advocate Condell Medical CenterLibertyville | 11 | $58,102 | $8,869 | $7,074 |
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Memorial HospitalBelleville, IL | $8,595 |
|---|---|
| Advocate Condell Medical CenterLibertyville, IL | $8,869 |
| Decatur Memorial HospitalDecatur, IL | $8,903 |
| Advocate Trinity HospitalChicago, IL | $9,362 |
| Memorial Medical CenterSpringfield, IL | $9,789 |
| Northwestern Medicine McHenryMcHenry, IL | $17,393 |
|---|---|
| The University of Chicago Medical CenterChicago, IL | $16,199 |
| Saint Francis Medical CenterPeoria, IL | $14,894 |
| Northwestern Memorial HospitalChicago, IL | $12,884 |
| Evanston HospitalEvanston, IL | $10,534 |
In 2024 Medicare data, a hospital stay for hypertension with major complications (DRG 304) at 11 hospitals in Illinois was billed at $53,328 on average, while the average total payment was $12,346, of which Medicare paid $8,726. Your own cost depends on your insurance, deductible and the hospital.
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Illinois, average charges were 4.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.